Clinical Research Directory

Dual-Task Core Stabilization Training in Chronic Nonspecific Low Back Pain

This study will investigate whether adding cognitive tasks to core stabilization exercises improves the ability to perform physical and mental tasks simultaneously in adults with chronic nonspecific low back pain. A total of 90 participants aged 18-55 years will be randomly assigned to one of two groups. Both groups will complete the same supervised core stabilization exercise program, consisting of 18 sessions over six weeks. In the dual-task group, participants will perform cognitive activities, such as mental arithmetic and memory tasks, while exercising. In the single-task group, participants will perform the same exercises without additional cognitive tasks. The primary outcome will be motor dual-task cost during the Timed Up and Go test, which measures the change in functional mobility performance when a cognitive task is performed simultaneously. Secondary outcomes will include cognitive dual-task performance, walking speed, balance, pain intensity, disability, and fear of movement. Assessments will be conducted before treatment, immediately after the intervention, and at the 12-week follow-up. The study aims to determine whether combining cognitive and physical tasks during core stabilization training provides additional benefits compared with conventional core stabilization exercises alone.

Effects of SIS Therapy in Individuals With Chronic Nonspecific Low Back Pain

Brief Summary - buraya yapıştırın Chronic nonspecific low back pain is a common condition that can cause pain, limitations in daily activities, and reduced quality of life. Exercise and conventional physiotherapy are commonly used to manage chronic low back pain. SIS Therapy is a physiotherapy approach intended to reduce pain and improve movement and function. The aim of this randomized controlled trial is to investigate the effects of SIS Therapy in individuals with chronic nonspecific low back pain and to compare these effects with conventional physiotherapy. Participants will be randomly assigned to one of two groups. The SIS Therapy group will receive SIS Therapy together with a standard exercise program consisting of lumbar stabilization and stretching exercises. The conventional physiotherapy group will receive a program consisting of heat application, transcutaneous electrical nerve stimulation (TENS), therapeutic ultrasound, and therapeutic exercise. Both groups will receive treatment twice a week for four weeks, for a total of eight sessions, and both groups will receive the same home exercise program. Participants will be evaluated before and after the four-week treatment period. The assessments will examine changes in pain intensity, lumbar mobility, and back extensor muscle endurance.

Turkish Pain Behaviour Scale in Adults With Chronic Nonspecific Low Back Pain

The aim of this study was to translate and culturally adapt the Pain Behaviour Scale (PaBS) into Turkish and to evaluate its psychometric properties in adults with chronic nonspecific low back pain. Specifically, the study examined interrater reliability, intrarater reliability, agreement, measurement error, and construct validity of the Turkish version of the PaBS during standardized functional performance tasks.

Is Central Sensitization a Prognostic Indicator in Chronic Nonspecific Low Back Pain?

This observational study will examine whether signs of increased sensitivity in the nervous system at the beginning of the study are associated with short-term clinical outcomes in adults with chronic nonspecific low back pain. Approximately 180 participants will complete questionnaires about central sensitization, disability, pain, anxiety, and depression at the beginning of the study. After 6 weeks, disability, pain, and the participant's overall perception of change will be assessed again. The researchers will evaluate whether the initial level of central sensitization is associated with meaningful improvement in disability and perceived treatment benefit. Participants will not be assigned to a treatment as part of this study and will continue to receive routine clinical care.

Responsiveness of Turkish Disability Questionnaires in Chronic Non-Specific Low Back Pain

This prospective observational clinimetric study aimed to compare the responsiveness of the Turkish versions of the Roland-Morris Disability Questionnaire (RMDQ), Oswestry Disability Index (ODI), and Quebec Back Pain Disability Scale (QBPDS) in adults with chronic non-specific low back pain. The study also aimed to estimate minimal important change (MIC) values for these instruments using a Global Perceived Effect (GPE) scale as an external anchor and to interpret the MIC estimates in relation to measurement error.

Active Release Versus Positional Release Technique

Chronic Non-Specific Low Back Pain is the pain with tension, soreness or stiffness of lower back muscles lasting from 3 months or longer due to off unidentifiable cause. Low back pain (LBP), one of the most common musculoskeletal disorders seen in the general population and has effect on every age group. The objective of the study is to compare effects of positional and active release technique on pain and flexibility among chronic non-specific low back pain patients. This study was a Randomized Clinical trial and was conducted at Arif Memorial teaching hospital. A sample size of Total 30 patients was taken in this study using a consecutive sampling technique. Patients were randomly assigned into two groups. Group A was treated with positional release therapy (PRT) and Group B was treated with active release therapy (ART). Then the evaluation was done on day one as pre-treatment values and post treatment values were assessed after receiving the treatment session of 6 days for 2 consecutive weeks. The collected data was analyzed on SPSS 25. By using the Shapiro-wilk test found that the data was normally distributed with a p-value\>0.05. By using paired t-test it has been that both techniques show significant results are effective for treating chronic non-specific low back pain. Using independent t-test with p-value\<0.05 it has been found that Positional Release Technique being superior to Active Release Technique with p-value\<0.05 by bringing the reduced flexibility to near normal and pain to the lowest level. The results suggest that both Active Release Technique and Positional Release Technique are effective in reducing the pain and improving the flexibility of the muscles in patients with Chronic non-specific low back pain. But Positional Release Technique has shown significant reduction in pain and increasing the flexibility of the muscles thus considered to be more effective than Active Release Technique.

Sensorimotor Balance Training for Chronic Nonspecific Low Back Pain

Chronic nonspecific low back pain is one of the most common causes of pain and disability worldwide. Many people with chronic low back pain experience difficulties with balance, posture, movement control, and daily activities. Sensorimotor balance training is a rehabilitation approach designed to improve balance, body awareness, and neuromuscular control. The purpose of this randomized controlled trial is to investigate whether sensorimotor balance training is more effective than standard physiotherapy in reducing pain and improving spinal alignment in adults with chronic nonspecific low back pain. Participants will be randomly assigned to either a sensorimotor balance training group or a standard physiotherapy group. Both groups will receive treatment three times per week for 12 weeks. Pain intensity, functional disability, and spinal alignment will be assessed before and after the intervention. Spinal alignment will be measured using the DIERS Formetric 4D system, a non-invasive and radiation-free technology that evaluates posture and spinal shape. The findings of this study may help identify effective rehabilitation strategies for improving pain, function, and spinal alignment in people with chronic nonspecific low back pain.